<div class="upperLayer" id="regForm">
    <div id="btnClose"><a href="javascript: void()" onclick="closeLayer()">Close</a></div>
    <br />
    <?php $provider = $this->provider; ?>
    <p>Edit Customer Infomartion</p>
    <form method="post" action="" onsubmit="return editUser('<?php echo  $this->baseUrl();?>/admin/providers/update')">
        <input type="hidden" id="txtId" name="txtId" value="<?php echo $provider->getId(); ?>" />
        <table id="regTb">
            <tr>
                <td class="leftCol"><label for="txtUsername">Username: </label></td>
                <td class="rightCol"><input id="txtUsername" name="txtUsername" type="text" value="<?php echo $provider->getUsername();?>" /></td>
            </tr>
            <tr>
                <td class="leftCol"></td>
                <td class="rightCol"><input id="btnSubmit" name="submit" type="submit" value ="Submit" /></td>
            </tr>
        </table>
    </form>
</div>